caa a22 4500 465762573 CHVBK 20180323111903.0 cr unu---uuuuu 170327e19900801xx s 000 0 eng 10.1007/BF00300408 doi (NATIONALLICENCE)springer-10.1007/BF00300408 Sigmoid stricture at colonoscopy — an indication for surgery [Elektronische Daten] [D. King, D. Lubowski, A. Armstrong] Strictures of the sigmoid colon continue to pose a diagnostic dilemma. They commonly appear to be due to diverticular disease but carcinoma must always be excluded. In some cases diverticula may be present but in others there is no obvious cause for the stricture. In a series of 1039 consecutive colonoscopies performed between 1984 and 1986, 19 cases of sigmoid stricture that could not be negotiated with the colonoscope were encountered. In each case the cause of the stricture could not be demonstrated. Fifteen patients (79%) underwent laparotomy primarily on clinical grounds or with barium enema findings suggestive of carcinoma. A final diagnosis of diverticular disease was made in nine cases and adenocarcinoma is six cases. Barium enema was a poor predictor of malignancy in a stricture. Four patients were treated conservatively and two of these patients continued to have significant symptoms due to diverticular disease. This experience suggests that sigmoid strictures that prevent the passage of a colonoscope should be resected when the cause of the stricture is not apparent. Springer-Verlag, 1990 King D. Colorectal Unit, St. George Hospital, Sydney, Australia aut Lubowski D. Colorectal Unit, St. George Hospital, Sydney, Australia aut Armstrong A. Colorectal Unit, St. George Hospital, Sydney, Australia aut International Journal of Colorectal Disease Springer-Verlag 5/3(1990-08-01), 161-163 0179-1958 5:3<161 1990 5 384 https://doi.org/10.1007/BF00300408 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00300408 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- King D. Colorectal Unit, St. George Hospital, Sydney, Australia aut NATIONALLICENCE 700 1- Lubowski D. Colorectal Unit, St. George Hospital, Sydney, Australia aut NATIONALLICENCE 700 1- Armstrong A. Colorectal Unit, St. George Hospital, Sydney, Australia aut NATIONALLICENCE 773 0- International Journal of Colorectal Disease Springer-Verlag 5/3(1990-08-01), 161-163 0179-1958 5:3<161 1990 5 384 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer